A 38-year-old male patient (weighing 176 lbs) with a history…

A 38-year-old male patient (weighing 176 lbs) with a history of Type 2 Diabetes is admitted to the ICU for hyperosmolar hyperglycemic state (HHS). The patient reports 2 days of polyuria and fatigue, and labs show blood glucose 540 mg/dL, serum ketones negative, and pH 7.38. The provider places an order for Regular Insulin: 0.08 units/kg/hour. Regular insulin comes supplied as 100 units diluted in 100 mL of 0.9% NS. What should the rate of the infusion be (in mL/hr) to administer the dose correctly? Enter numeric value only. Round to the nearest tenth.

A 72-year-old male is admitted to the cardiac intensive care…

A 72-year-old male is admitted to the cardiac intensive care unit with cardiogenic shock following an acute myocardial infarction. He requires a continuous dobutamine infusion for inotropic support. The provider orders dobutamine 250 mg in 250 mL of D5W to infuse at 6 mL per hour. How many micrograms per minute is the patient receiving? Enter numeric answer only. 

A 58-year-old patient is ordered IV immunoglobulin (IVIG) 40…

A 58-year-old patient is ordered IV immunoglobulin (IVIG) 40 g/day, divided into 4 IV doses, each to be infused over 2 hours. The IVIG is supplied as 10,000 mg/100 mL. How many mL should the nurse administer, and at what rate (mL/hr)? Enter numeric value only. Round to the nearest tenth as appropriate. 

A 32-year-old woman (weight 176 lbs) is admitted to the labo…

A 32-year-old woman (weight 176 lbs) is admitted to the labor and delivery unit with preeclampsia and has experienced a seizure. The provider orders magnesium sulfate as follows: Loading dose (bolus): 5 g IV over 20 minutes Maintenance dose: 2 g/hour IV continuous infusion Magnesium sulfate is available as 1 g/12 mL. At what rate (in mL/hr) should the nurse set the pump to administer the bolus dose over 20 minutes? Enter numeric value only. 

A 68-year-old patient is admitted to the ICU with septic sho…

A 68-year-old patient is admitted to the ICU with septic shock and acute kidney injury. The patient is intubated, sedated, and on strict fluid balance monitoring over a from 1900-0700. Intake: 0.9% Normal Saline running at 125 mL/hr continuously Norepinephrine infusion at 12 mL/hr IV antibiotics: Piperacillin-tazobactam 125 mL at 2000 Vancomycin 500 mL at 0200 Enteral feeding via NG tube at 50 mL/hr, which was paused from 2300–0100 due to high gastric residuals Output: Urine output: 1900–0100: 150mL 0100–0700: 120mL Nasogastric aspirate: 175 mL total Chest drain output: 75 mL One episode of loose bowel estimated at 200 mL   Please calculate the total net balance for the 12-hour shift. Enter numeric value only.

A 68-year-old patient is receiving digoxin 0.25 mg IV daily…

A 68-year-old patient is receiving digoxin 0.25 mg IV daily for heart failure. The nurse reviews the patient’s latest laboratory results and vital signs: Serum digoxin level: 2.4 ng/mL (ref: 0.5-2.0ng/mL) Potassium: 3.2 mEq/L Heart rate: 48 bpm Blood pressure: 110/70 mmHg   Which of the following actions is the most appropriate for the nurse?

A 29-year-old woman is being treated for postpartum hemorrha…

A 29-year-old woman is being treated for postpartum hemorrhage due to uterine atony. The medical officer prescribes carboprost tromethamine (Hemabate). Hemabate is supplied as 250mcg per 1 mL vial and may be administered IM every 30–90 minutes, to a maximum cumulative dose of 2 mg. The patient receives the following doses: 1st dose: 250 mcg at 1000 2nd dose: 250 mcg at 1030 3rd dose: 250 mcg at 1130 4th dose: 250 mcg at 1300 5th dose: 250 mcg at 1430 What is the total dose of carboprost tromethamine (Hemabate) administered in milligrams, and has the maximum cumulative dose been exceeded?